Kimberly Brooks Mazella, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004147 Issued in VA

Practice address

6723 Whittier Ave Ste 206
MC Lean, VA 22101-4544

Phone

(703) 538-2499

Fax

(866) 257-9009

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Miles Brooks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kimberly M. Brooks LPC PLLC

  • Community/Behavioral Health Agency
  • MC Lean, VA
  • NPI 1093272791
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1215057104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 WHITTIER AVE STE 206",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014544",
            "telephone_number": "703-538-2499",
            "fax_number": "866-257-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 WHITTIER AVE STE 206",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014544",
            "telephone_number": "703-538-2499",
            "fax_number": "866-257-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZELLA",
        "first_name": "KIMBERLY",
        "middle_name": "BROOKS",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BROOKS",
            "middle_name": "MILES",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Sara Maxwell, LPC, NCC
• Danielle May, PA-C
• Laura Elizabeth May
• Loretta May
• Angela Mayo, LCSW
• Barbara Zelda Mazer, PH.D.
• Danielle J Mazur
• Gabriella Rose Mazzeo, OTD, OTR/L
• Lauren D McBride
• Judith T. McCallum, OTR

• Professional Counselor in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.